| NPI | 1518072255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WU0100X Registered Nurse, Urology (Licence: IL 041-141459) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-005593) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |